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The role of aortomesenteric angle in occurrence of spontaneous isolated superior mesenteric artery dissection.
Int Angiol. 2020 Apr; 39(2):125-130.IA

Abstract

BACKGROUND

This study investigated whether anatomical factors affect the occurrence of SISMAD by measuring the aortomesenteric angle (AMA).

METHODS

The study population is comprised of 3 distinct population; Korean SISMAD patients, two control groups from a medical checkup database of 4997 Korean and 317 Caucasian patients from 2011 to 2016. The patient group (PG) included 26 symptomatic patients and 19 Korean diagnosed with SISMAD during medical checkup. The control group was selected based on propensity score similarities calculated by using the following covariates: sex, age, body mass index, drinking, smoking, hypertension, diabetes, and cancer. We compared PG with equal numbers of two control groups comprised of Koreans (KG) and Caucasians (FG), respectively.

RESULTS

The mean (SD) AMA was 74.9o (17.5) (range, 45.9-110.9o) in the PG, 56.8o (19.5 (range, 10.2o -91.9o) in the FG, and 62.4o (19.1) (range, 25.4-110.8o) in the KG. A significant difference was observed between PG and the two control groups (P<0.001). The AMA in the FG was significantly more acute than the AMA in Korean patients including those in the PG and KG (P=0.001).

CONCLUSIONS

Large AMA is considered to be an important etiologic factor in SISMAD.

Authors+Show Affiliations

Division of Vascular and Transplantation Surgery, Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, South Korea.Department of Surgery, Stony Brook University Medical Center, New York, NY, USA - nlabrop@yahoo.com.

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

32052950

Citation

Kim, Hyangkyoung, and Nicos Labropoulos. "The Role of Aortomesenteric Angle in Occurrence of Spontaneous Isolated Superior Mesenteric Artery Dissection." International Angiology : a Journal of the International Union of Angiology, vol. 39, no. 2, 2020, pp. 125-130.
Kim H, Labropoulos N. The role of aortomesenteric angle in occurrence of spontaneous isolated superior mesenteric artery dissection. Int Angiol. 2020;39(2):125-130.
Kim, H., & Labropoulos, N. (2020). The role of aortomesenteric angle in occurrence of spontaneous isolated superior mesenteric artery dissection. International Angiology : a Journal of the International Union of Angiology, 39(2), 125-130. https://doi.org/10.23736/S0392-9590.20.04314-X
Kim H, Labropoulos N. The Role of Aortomesenteric Angle in Occurrence of Spontaneous Isolated Superior Mesenteric Artery Dissection. Int Angiol. 2020;39(2):125-130. PubMed PMID: 32052950.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The role of aortomesenteric angle in occurrence of spontaneous isolated superior mesenteric artery dissection. AU - Kim,Hyangkyoung, AU - Labropoulos,Nicos, Y1 - 2020/02/12/ PY - 2020/2/14/pubmed PY - 2020/12/1/medline PY - 2020/2/14/entrez SP - 125 EP - 130 JF - International angiology : a journal of the International Union of Angiology JO - Int Angiol VL - 39 IS - 2 N2 - BACKGROUND: This study investigated whether anatomical factors affect the occurrence of SISMAD by measuring the aortomesenteric angle (AMA). METHODS: The study population is comprised of 3 distinct population; Korean SISMAD patients, two control groups from a medical checkup database of 4997 Korean and 317 Caucasian patients from 2011 to 2016. The patient group (PG) included 26 symptomatic patients and 19 Korean diagnosed with SISMAD during medical checkup. The control group was selected based on propensity score similarities calculated by using the following covariates: sex, age, body mass index, drinking, smoking, hypertension, diabetes, and cancer. We compared PG with equal numbers of two control groups comprised of Koreans (KG) and Caucasians (FG), respectively. RESULTS: The mean (SD) AMA was 74.9o (17.5) (range, 45.9-110.9o) in the PG, 56.8o (19.5 (range, 10.2o -91.9o) in the FG, and 62.4o (19.1) (range, 25.4-110.8o) in the KG. A significant difference was observed between PG and the two control groups (P<0.001). The AMA in the FG was significantly more acute than the AMA in Korean patients including those in the PG and KG (P=0.001). CONCLUSIONS: Large AMA is considered to be an important etiologic factor in SISMAD. SN - 1827-1839 UR - https://www.unboundmedicine.com/medline/citation/32052950/The_role_of_aortomesenteric_angle_in_occurrence_of_spontaneous_isolated_superior_mesenteric_artery_dissection_ L2 - https://www.minervamedica.it/index2.t?show=R34Y2020N02A0125 DB - PRIME DP - Unbound Medicine ER -